| NPI | 1790762185 |
|---|---|
| Former Name | TRACY JEAN BARNETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 4236) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ 4236) |
| 208D00000X General Practice (Licence: AZ 4236) | |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2009-11-20 |